摘要
【目的】比较电针联合康复训练治疗与单纯康复训练治疗对脑卒中后吞咽障碍患者的影响,评价电针联合康复训练治疗脑卒中后吞咽障碍的疗效。【方法】采用随机盲法对照试验,将70例患者随机分为试验组和对照组,每组各35例。试验组接受3周电针联合康复训练治疗,对照组单纯接受康复训练治疗。以电视荧光吞咽功能研究(the videofluoroscophicswallowing study,VFSS)作为疗效标准,比较2组的疗效情况。【结果】(1)治疗后2组患者VFSS评分中的总分、口腔期分值、咽期分值及误咽分值均较治疗前明显上升,差异有显著性意义(P<0.01或P<0.05)。2组治疗前后VFSS评分总分、口腔期分值、咽期分值及误咽分值的差值比较,差异均有显著性意义(P<0.01或P<0.05),表明试验组的VFSS评分总分、口腔期分值、咽期分值及误咽分值均较对照组上升明显。(2)无论是不含脑干损伤患者还是含脑干损伤患者,试验组治疗后VFSS评分的总分分值及咽期分值升高均较对照组明显,差异均有显著性意义(P<0.01或P<0.05);而口腔期分值差异均无显著性意义(P>0.05)。在误咽分值方面,不含脑干损伤患者中,试验组治疗后误咽分值升高与对照组比较差异不明显(P>0.05);而含脑干损伤患者中,试验组治疗后误咽分值升高较对照组明显,差异有显著性意义(P<0.05)。【结论】电针联合康复训练治疗脑卒中后吞咽障碍患者的疗效优于单纯康复训练治疗。
Objective To evaluate the therapeutic effect of electroacupuncture（EA） combined with rehabilitation training on post-stroke dysphagia.Methods Seventy qualified patients were equally randomized into two groups by blind method.The experiment group was given EA combined with rehabilitation training,and the control group received rehabilitation training alone.The treatment lasted 3 weeks.Videofluoroscophic swallowing study（VFSS） was used for the evaluation of therapeutic effect in the two groups.Results（1） After treatment,the total VFSS score,oral stage VFSS score,swallowing stage VFSS score and VFSS score of error in swallowing were obviously increased in both groups（P〈0.05 or P〈0.01 compared with those before treatment）.The difference values of the total VFSS score,oral stage VFSS score,swallowing stage VFSS score and VFSS score of error in swallowing before and after treatment were higher in the experiment group than those in the control group（P〈0.05 or P〈0.01）.（2） The increase of total VFSS score and swallowing stage VFSS score in patients with or without brain stem injury was higher in the experiment group than that in the control group（P〈0.05 or P〈0.01）,while the difference of the change of oral stage VFSS score was insignificant in the two groups（P〉0.05）.The increase of the VFSS score of error in swallowing was not obvious in patients without brain stem injury in two groups（P〉0.05）,while was higher in patients with brain stem injury in the experiment group than that in the control group（P〈0.05）.Conclusion The therapeutic effect of EA combined with rehabilitation training on post-stroke dysphagia is superior to that of rehabilitation training alone
出处
《广州中医药大学学报》
CAS
2011年第3期239-242,共4页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
脑卒中/针灸疗法
中风/针灸疗法
吞咽障碍/针灸疗法
电视荧光透视检查
吞咽功能康复训练
CEREBRAL STROKE/acup-moxibustion therapy； STROKE/acup-moxibustion therapy； DYSPHAGIA/acup-moxibustion therapy； VIDEOFLUOROSCOPHIC SWALLOWING STUDY； SWALLOWING REHABILITATION TRAINING
